LAS DAVIS ENTERPRISES INC. (NPI# 1023547296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023547296 |
| Entity Type | Organization |
| Organization Name | LAS DAVIS ENTERPRISES INC. |
| Other Organization Name | MIRACLE EAR |
| Practice Address |
4200 N Illinois St Ste D Swansea IL 62226-7610 |
| Mailing Address |
5220 S Lindbergh Blvd Saint Louis MO 63126-3519 |
| Practice Telephone | 6182347368 |
| Mailing Telephone | 3148437233 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Authorized Official Name | TIFFANY DAVIS (PRESIDENT) |
| Authorized Official Telephone | 3148437233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers | ||
| Y | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Miracle Ear | Doing Business As Name - Organization |
| Street Address |
4200 N ILLINOIS ST STE D |
| City | SWANSEA |
| State | IL |
| Zip Code | 62226-7610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975201 | Hearing Doctors of Illinois, Inc. | Audiologist-Hearing Aid Fitter | 1601 W Jackson St Ste 105, Macomb, IL 61455-1901 | 2019-04-23 |
| 1902300338 | Finer Hearing LLC | Audiologist-Hearing Aid Fitter | 1640 Lancaster Ln, Woodridge, IL 60517-7618 | 2018-03-21 |
| 1871978015 | Michelle Cramer | Audiologist-Hearing Aid Fitter | 1417 Washington Ave Ste 2, Alton, IL 62002-3970 | 2015-07-29 |
| 1225411879 | Hometown Hearing & Audiology, Inc. | Audiologist-Hearing Aid Fitter | 114 W Market St, Taylorville, IL 62568-2368 | 2015-07-01 |
| 1841688603 | Soundways Hearing Health Inc | Audiologist-Hearing Aid Fitter | 638 E Irving Park Rd, Roselle, IL 60172-2303 | 2015-01-02 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1710230073 | Chad Michael Bauer | Audiologist-Hearing Aid Fitter | 603 W Golf Rd, Des Plaines, IL 60016-2462 | 2012-10-23 |
| 1427301100 | Haley A Heller | Audiologist-Hearing Aid Fitter | 127 Danada Sq E, Wheaton, IL 60189-2008 | 2012-10-18 |
| 1871846550 | Monia L Clay | Audiologist-Hearing Aid Fitter | 10316 S Cicero Ave, Oak Lawn, IL 60453-4702 | 2012-10-18 |
| 1073866752 | Timothy J Finegan | Audiologist-Hearing Aid Fitter | 1600 16th St Unit 17, Oak Brook, IL 60523-1302 | 2012-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.